Part 3: The Surgery
And now for the technical details...
While Marlo was being examined the Vet gave us several options for treatment.
The least expensive and least complicated was to give Marlo some pain medicine, bandage her eye, and send her home. This was going to cost around $300. We would also have to take her to either our regular vet or to a veterinary ophthalmologist, where we would, again, have to pay hundreds of dollars for consultations and eventually surgery.
Using her 'third eyelid' that was mentioned in the last post would cost around $500. In the end, this wasn't an option for Marlo because of the severity of her injury. This procedure also isn't guaranteed to heal the eye, and your pet may need to return and have additional surgery to ultimately remove his eye after all.
We decided that the best option for Marlo was a complete enucleation. The surgery requires a general anesthetic and is supposed to take around two hours. Marlo also had some tests done before the surgery to make sure that all of her organs were properly functioning in order to metabolize the anesthetic. In this operation, the entire eyeball is removed and the nerves, veins, and arteries serving the eye are cauterized. The eye lid is sewn shut and remains permanently shut. This procedure alone was around $1200. Laura was reluctant to agree to this option, but we knew it would be best for Marlo. Marlo was originally first in line for surgery, but another pet was brought in that was in worse shape after we left, so she had to wait a few more hours. The vet called us when she finished surgery and let us know that everything went well. We had to leave her at the vet until she woke up from surgery several hours later. From the time we got to the vet to the time we were able to pick her up was around twelve hours.
In the meantime, we did some research. We found out that some dogs have the option of getting a replacement globe. This globe can be inserted to give the eye shape and keep the skin from sinking in. This is not a replacement eye, or even a prosthetic. The plastic globe only keeps the facial skin from shifting and looking weird. The fitting for this placeholder must be done by a veterinary ophthalmologist. However, since Marlo's case was an emergency, there wasn’t time to consult a specialist. Marlo is also a Boston Terrier mix, and these dogs don’t usually make good candidates for this operation, since their eye sockets are too shallow to begin with.
We learned later that dogs can have prosthetic eyes implanted. Of course, they can’t see with the prosthetics; this is a purely cosmetic surgery. Once the implant is in, the dogs must receive daily eye drops for the rest of their lives, and the prosthetics are prone to infection. We decided this wasn’t a realistic option for Marlo. We aren't millionaires. Really, though, the decision was made more out of consideration for Marlo than cost alone. Who wants to torture their dog with daily eye drops and future infections? Not me.
We decided that we could still love Marlo without an eye. We could even love her without a weird, fake-looking, fake eye.
Now she is the One-Eyed Monster Dog.
Here are some good resources we found when trying to learn more about the surgery:
Pet Place is a good resource for eye removal in dogs.
Pet Health is a website about general pet health.
Beag's Corner is dog health from 'The Beag's' perspective. This page is specifically about eye proptosis.
Blind Dog is people sharing stories about their pets losing an eye. It is more emotional, but it lets you know your pet will be ok.